Outpatient Surgery Magazine - Subscribers

What's the Harm? - December 2015 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/611424

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Page 122 of 150

by constantly monitor- ing the circuit for fluc- tuations or changes. If there's an issue, such as insulation failure or capacitive coupling, the device is immedi- ately shut down. One study (osmag.net/2PzGuX) found that AEM totally eliminated stray currents caused by insulation failure and capacitive coupling. No smoking Where there's electrosurgery, there's smoke. That's unavoidable. But as surgical staff become increasingly aware of the hazards related to smoke, one challenge is to create smoke-evacuation tools that sur- geons feel comfortable using. That's led one company to offer a pencil that provides a variety of ways to position tubing — the goal being to accommodate as many surgeons as possible by enabling the 3 most common grips. An alternative, and my preference, is a unique type of insufflation system now on the market that automatically evacuates smoke while it insufflates the abdominal cavity. It works so well that it can obviate the need for any additional smoke evacuation devices. OSM 1 2 3 D E C E M B E R 2 0 1 5 | O U T P A T I E N TS U R G E R Y. N E T Pamela Bevelhymer, RN, BSN z SMOKE SCREEN As practitioners become increasingly concerned about the hazards of surgical smoke, manufacturers are creating evacuation devices that feel comfortable in the hands of surgeons. Dr. Advincula (aa3530@columbia.edu) is vice-chair of women's health in the Department of Obstetrics and Gynecology at Columbia University Medical Center and chief of gynecology at the Sloane Hospital for Women at New York-Presbyterian/Columbia University Medical Center.

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